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Mrs. Nicole Shupe Fullard, NP
Family Nurse Practitioner in Brunswick, Georgia
NPI 1225660491

Nicole Shupe Fullard is a Family Nurse Practitioner based in Brunswick, GA and is specialized in Family. Nicole Shupe Fullard practices in Brunswick, GA and has the professional credentials of NP. The NPI Number for Nicole Shupe Fullard is 1225660491 and holds a License No. RN231483 (Georgia).

The current practice location address for Nicole Shupe Fullard is 1111 Glynco Pkwy Ste 10, Brunswick, GA and can be reached out via phone at 912-264-9111.

Location: 1111 Glynco Pkwy Ste 10, Brunswick, GA, 31523-1111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225660491
Provider Name
Nicole Shupe Fullard
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1111 Glynco Pkwy Ste 10, Brunswick, GA, 31523-1111
Phone Number
912-264-9111
Fax Number
Provider Enumeration Date
02/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1111 Glynco Pkwy Ste 10
City
Brunswick
State
Georgia
Zip
31525-7930
Phone Number
912-264-9111
Fax Number
person
Provider Business Mailing Address Details
Address
1111 Glynco Pkwy Ste 10
City
Brunswick
State
Georgia
Zip
31525-7930
Phone Number
912-264-9111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN231483 (Georgia)
Definition
Definition to come...
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